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<br />-3- <br />14. Corresoondence Information: <br />APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) <br />Contact's Name: Galen Reese Title: <br />Company Name: <br />Street: <br />City: <br />State: <br />Telephone Number: <br />Fax Number: <br />RPPGP f.n n+rantiny <br />RR1. Bo:; 114 <br />CO Zip Code: <br />9. 0 - <br />( 1 - <br />80741 <br />FITTING CONTACT (if ff iC ke~fl (nin kfrom applicant/operator above) <br />Individual's Name: Title: <br />Company Name: <br />Street: <br />City: <br />State: <br />Telephone Humber: <br />Fax Number: <br />INSPECTION CONTACT <br />Individual's Name: <br />Company Name: <br />Street: <br />City: <br />state: <br />ain <br />Sterlinn, <br />CO zip code: 80751 <br />1970 ~ - 522-0888 <br />( 1 - <br />Same as Permitting Contact <br />Telephone Number: ( ) - _ <br />Fax Number: ( 1 - <br />CC: STATE OR FEDERAL LANDOWNER (if anvl <br />Agency: <br />Street: <br />City: <br />State: <br />Telephone Number: ( ) - _ <br />CC: STATE OR FEDERAL LANDOWNER (if anvl <br />Agency: <br />Street: <br />City: <br />State: <br />Zip Code: <br />Zip Code: <br />Zip Code: <br />Telephone Number: <br />